Great Falls Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREAT FALLS MEDICAL CARE PC

Practice address

289 Union Ave
Paterson, NJ 07502-1930

Phone

(718) 930-5008

NPI assigned

Oct 26, 2021

Last updated

Jan 18, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammed A Siddique, MDNPI 1871699470

Title

President

Phone

(718) 930-5008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed A Siddique, MD

  • Internal Medicine Physician
  • Ozone Park, NY
  • NPI 1871699470

  NJ

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1568126597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 UNION AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021930",
            "telephone_number": "718-930-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 UNION AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021930",
            "telephone_number": "718-930-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-930-5008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Graves, M.D.
• Steven Gravier-Leon, MD
• Jeremy S Grayson, MD
• Great Falls Dialysis LLC
• Great Falls Foot & Ankle Center, P.a.
• Great Falls Operations LLC (Great Falls HCC)
• Frank Greco Jr., DMD
• Glenn Grey, MD
• Growing in Grace Counseling Group
• Miguel Grullon

• Internal Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.